Use of standardised feeding protocols in neonatal units - A national survey of Australian neonatal nurses and dietitians

/Aim: Given the limited literature, this study aimed to describe current feeding practices as reported by neonatal staff, including use of Standardised Feeding Protocols (SFPs) and pasteurised donor human milk (PDHM). An electronic survey was emailed to neonatal nurses and dietitians through professional organisations and networks. Descriptive and chi-square tests were conducted. Comments were summarised into themes. Eligible respondents (n = 229) were female (98%), neonatal nurses (95%) with 17 (0.3–43) years of experience. Most (82%) observed SFPs in neonatal settings. Over 75% reported breast milk, term formula or low birth weight formula inclusion in SFPs. PDHM was included less often in SFPs (52%), particularly in regional/rural (10%) than capital areas (71%, p < 0.001). Patient weight and growth were common criteria used for commencing or ceasing fortification. Themes emerged supporting PDHM availability, and consistent SFPs across Australia. An opportunity to standardise evidence-based SFPs across neonatal settings exists.